{{ orgname }}
血液透析(滤过)记录表单
| 治疗日期: {{ year }}年{{ months }}月{{ day }}日 |
|
姓名:{{ patientInfo.name ? patientInfo.name : "/" }}
性别:{{ patientInfo.gender ? patientInfo.gender : "/" }}
年龄:{{ getNewAge(patientInfo.id_card_no) }} 岁
透析机号:
{{ dialysisOrder && dialysisOrder.DeviceNumber && dialysisOrder.DeviceNumber.number.length > 0 ?
dialysisOrder.DeviceNumber.number : patientInfo.DialysisSchedule.device_number.number }}
透析频次:
{{ predialysis.dialysis_count}}
|
||
|
上机前病情:
{{
predialysis.befor_symptoms
? predialysis.befor_symptoms
: "/"
}}
|
||
|
T：
{{
predialysis.temperature
? predialysis.temperature
: "/"
}}
°C
P：
{{
predialysis.pulse_frequency
? predialysis.pulse_frequency
: "/"
}}
次/分
R：
{{
predialysis.breathing_rate
? predialysis.breathing_rate
: "/"
}}
次/分
BP：
{{
predialysis.systolic_blood_pressure
? predialysis.systolic_blood_pressure
: "/"
}}
/
{{
predialysis.diastolic_blood_pressure
? predialysis.diastolic_blood_pressure
: "/"
}}
mmHg
|
||
|
治疗方式:
|
治疗时间： {{ prescription.dialysis_duration_hour ? prescription.dialysis_duration_hour : "0" }}小时 {{ prescription.dialysis_duration_minute ? prescription.dialysis_duration_minute : 0 }}分 | |
|
治疗抗凝:
首剂：
{{ prescription.anticoagulant_shouji ? prescription.anticoagulant_shouji : "0" }}
mg
追加：
{{ prescription.anticoagulant_weichi ? prescription.anticoagulant_weichi : "0" }}
mg/h
总量：
{{ prescription.anticoagulant_zongliang ? prescription.anticoagulant_zongliang : "0" }}
mg
|
||
|
处方脱水量: {{ prescription.prescription_water ?
prescription.prescription_water : "" }} L
目标脱水量:{{ prescription.target_ultrafiltration ?
prescription.target_ultrafiltration : "" }} L
透析液流量: {{ prescription.dialysate_flow ? prescription.dialysate_flow : "" }}
ml/h
透析(滤)器:
{{ prescription.dialysis_dialyszers ? prescription.dialysis_dialyszers : "" }}
{{ prescription.dialysis_strainer ? prescription.dialysis_strainer : "" }}
{{ prescription.dialysis_irrigation ? prescription.dialysis_irrigation :'' }}
|
医师签名:
{{ getAdminUser(prescription.creater) }}
|
|
|
透析液:钠:
{{ prescription.sodium ? prescription.sodium : "" }} mmol/L
钙:
|
||
|
血管通路:
穿刺者:
{{ getAdminUser(dialysisOrder == null ? 0 : dialysisOrder.puncture_nurse) }}
|
||
|
内瘘穿刺方式:
内瘘震颤和血管杂音:
|
| 治疗过程记录 | ||||||||||||
| 时间 | 透析参数 | 生命体征 | 治疗中病情变化 | |||||||||
| TMP mmHg |
静脉压 mmHg |
血流量 ml/min |
脱水量 ml |
超滤率 ml/h |
T ℃ |
HR bpm |
R bpm |
BP mmHg |
SpO₂ % |
记录 | 签名 | |
| {{ getTime(monitor.operate_time, "{h}:{i}") }} | {{ monitor.transmembrane_pressure ? monitor.transmembrane_pressure : "/" }} | {{ monitor.venous_pressure ? monitor.venous_pressure : "/" }} | {{ monitor.blood_flow_volume ? monitor.blood_flow_volume : "/" }} | {{ monitor.ultrafiltration_volume ? monitor.ultrafiltration_volume : "/" }} | {{ monitor.ultrafiltration_rate ? monitor.ultrafiltration_rate : "/" }} | {{ monitor.temperature ? monitor.temperature : '/' }} | {{ monitor.pulse_frequency ? monitor.pulse_frequency : "/" }} | {{ monitor.breathing_rate ? monitor.breathing_rate : "/" }} | {{ monitor.systolic_blood_pressure ? monitor.systolic_blood_pressure : "/" }}/{{ monitor.diastolic_blood_pressure ? monitor.diastolic_blood_pressure : "/" }} | {{ monitor.blood_oxygen_saturation ? monitor.blood_oxygen_saturation : "/" }} | {{ monitor.end }} {{ monitor.symptom }} {{ monitor.dispose }} {{ monitor.result }} |
{{ getAdminUser(monitor.monitoring_nurse) }}
|
|
时间 |
医嘱执行记录 |
执行 |
核对 |
上次透后体重 |
{{ assessmentafter.weight_after ? assessmentafter.weight_after : "0" }}kg | ||||||||||||
| {{ getTime(advice.start_time, "{y}-{m}-{d} {h}:{i}") }} | ---> {{ advice.advice_name }} ({{ advice.advice_desc }}{{ advice.drug_spec_unit }}) {{ advice.prescribing_number }}{{ advice.prescribing_number_unit }} {{ advice.single_dose }}{{ advice.single_dose_unit }} {{ advice.delivery_way }} {{ advice.execution_frequency }} |
{{ getAdminUser(advice.execution_staff)
}}
|
{{ getAdminUser(advice.checker) }}
|
透前体重: | {{ predialysis.weight_before }}kg | 体重增加量: | {{ (predialysis.weight_before - assessmentafter.weight_after).toFixed(1) }}kg | 干体重(DW): | {{ predialysis.dry_weight }}kg | 较干体重增加量: | {{ patientInfo.total_dialysis + patientInfo.user_sys_before_count > 0 && afterdialysis.weight_after != 0 ? (afterdialysis.weight_after - predialysis.dry_weight).toFixed(2) : 0 }}kg | 净脱水量: | {{ afterdialysis.actual_ultrafiltration }}ml | 透后体重: | {{ afterdialysis.weight_after }}kg | 本次透析体重下降量: | {{ afterdialysis.weight_after == 0 || predialysis.weight_before == 0 ? '0.00' : (predialysis.weight_before - afterdialysis.weight_after).toFixed(2) }}kg |
T：
{{
afterdialysis.temperature
? afterdialysis.temperature
: "/"
}}
°C
P：
{{
afterdialysis.pulse_frequency
? afterdialysis.pulse_frequency
: "/"
}}
次/分
R：
{{
afterdialysis.breathing_rate
? afterdialysis.breathing_rate
: "/"
}}
次/分
BP：
{{
afterdialysis.systolic_blood_pressure
? afterdialysis.systolic_blood_pressure
: "/"
}}
/
{{
afterdialysis.diastolic_blood_pressure
? afterdialysis.diastolic_blood_pressure
: "/"
}}
mmHg
实际治疗时间：
{{
afterdialysis.actual_treatment_hour
? afterdialysis.actual_treatment_hour
: "/"
}}
h
{{
afterdialysis.actual_treatment_minute
? afterdialysis.actual_treatment_minute
: 0
}}
min
透析器凝血：
{{ afterdialysis.cruor ? afterdialysis.cruor : "/" }}
内瘘：
{{
afterdialysis.internal_fistula
? afterdialysis.internal_fistula
: "/"
}}
导管：
{{
afterdialysis.catheter ? afterdialysis.catheter : "/"
}}
透后体重：
{{
afterdialysis.weight_after
? parseFloat(
afterdialysis.weight_after -
afterdialysis.additional_weight
).toFixed(1)
: "/"
}}
kg
体重减少：
{{ (predialysis.weight_before - afterdialysis.weight_after).toFixed(2) }}
kg
透析中入量(L)：
{{
afterdialysis.dialysis_intakes
? afterdialysis.dialysis_intakes
: "/"
}}
{{ getUnit(afterdialysis.dialysis_intakes_unit) }}
实际超滤量：
{{
afterdialysis.actual_ultrafiltration
? afterdialysis.actual_ultrafiltration
: "/"
}}
ml
治疗小结
{{ summary.dialysis_summary }}
宣教知识：
{{
summary.mission
? summary.mission
: "/"
}}
备注：
{{ afterdialysis.remark ? afterdialysis.remark : "/" }}
医生签名:
{{ getAdminUser(prescription.creater) }}
![]()
护士签名:
{{ getAdminUser(dialysisOrder == null ? 0 : dialysisOrder.start_nurse) }}
![]()